BLOOD PRESSURE PROTOCOL:
As part of our continuing commitment to helping our patients maintain their overall health, we will be offering complimentary blood pressure screening to patients as of June 1, 2017.
Which patients are good candidates for blood pressure screening?
- New patients (at initial visit)
- Re-activated patients (at initial return visit)
- Patients who do not currently have a primary care physician
- Recall patients
- Surgical patients
- Patients who have taken Halcion to reduce anxiety
What age should we begin performing blood pressure screening?
- Age 20
How frequently should we perform blood pressure screening?
- In general, BP screening should be performed at least once every year on recall patients in the hygiene department.
- From a time management perspective, Dr. Koch recommends alternating BP screening and x-rays at 6 month recall visits.
What changes should be made to the screening interval based on findings?
- If BP is normal (less than 120/80), check at least once every 2 years.
- If BP is borderline high (called prehypertension) -- systolic BP between 120 and 139 or diastolic BP of 80 to 89 -- check at least once every year.
- If the reading is 140/90 or higher, the patient may have high blood pressure and needs to see their doctor for further evaluation.
If the blood pressure reading is higher than normal:
- A single high reading does not mean that the patient has high blood pressure.
- Recommend the patient check their BP at home and/or see their physician for consultation and evaluation.
How should we report blood pressure in the clinical notes?
- “Blood Pressure” may be abbreviated, therefore “BP = 120/80”.
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